What are
-Inpatient Hospital care
-Skilled nursing facility care
-Nursing home care (as long as custodial care isn't the only care you need)
-Hospice
-Home health services
100
Once the Part B deductible is met, an individual is generally responsible for this percentage of the Medicare approved amount for participating providers.
What is 20%?
100
The names of five Medicare Advantage HMOs in our county.
What are : SecureHorizons, Blue Shield, Care1st, Caremore, Citizens Choice, Easychoice, HealthNet, Humana, Kaiser, Scan, University Health Care
100
The number of months in the Initial Enrollment Period.
What is seven months?
100
A 6 month period that starts when Part B becomes effective and no medical questions can be asked.
What is a Medigap open enrollment period?
200
The number of Social Security Quarter Credits needed for Premium Free Part A.
What is 40?
200
A free preventative service for new Medicare beneficiaries. They should ask their providers for it by this name.
What is a "Welcome to Medicare Visit". The following year and thereafter, ask for an "Annual Wellness Exam".
200
Individuals who are dually eligible for Medicare and Medi-Cal are being passively enrolled in one of these plans during 2015 in Santa Clara County.
What is Anthem Cal MediConnect or Santa Clara Family Health Plan Cal MediConnect?
200
Anytime while working, plus 8 months after the last month active employment, or health coverage from that active employment, occurred.
What is the Part B Special Enrollment Period?
200
The two parts of Medicare that share the same initial enrollment period, special enrollment periods, and annual enrollment periods.
What are Medicare Part C and Part D?
300
$407 each month in 2015.
What is the Part A premium if you or your spouse have less than 30 Social Security Quarter Credits.
In California, Medigap carriers are not required to issue plans to individuals under 65 with this disease.
What is End Stage Renal Disease?
300
An individual will be enrolled into Medicare after receiving this number of months of Social Security Disability Insurance payments.
What is 24 months? What is during the 1st month for people with ALS (Lou Gehrig's Disease)?
There is a five month waiting period before payments are received.
300
Individuals with this Social Security prescription drug program can add, switch, or drop Part C and D plans anytime of the year.
What is the Low Income Subsidy or Extra Help Program?
400
When a person entitled to premium free Part A signs up, the effective date will be retroactive no more than this many months.
What are 6 months, but no earlier than an individual's 65th birth month?
400
Mr. Matata misses an initial enrollment period that ends in March. He signs up in January during the next General Enrollment Period. A Part B surcharge (penalty) of this amount shows up on his bill. Assume that no months of Employer Group Health Plan coverage w/ active employment existed which could have been subtracted.
What is 10%? Social Security counts the months after the initial enrollment period through the last month of the General Enrollment Period in which one enrolls.
400
A dual eligible beneficiary who decides not to join Cal MediConnect will then be required to select one of these (or one will be selected for them).
What is a Managed Medi-Cal Plan through either Anthem or Santa Clara Family Health Plan.
400
If creditable drug coverage ends, a person has this number of months, starting the first day of the following month, to enroll in a Part D plan, or other creditable drug coverage, to avoid a penalty.
What is 2?
400
If an individual signs up for Part A or Part B during the General Enrollment Period, coverage won’t begin until this month.
What is the month of July?
500
The type of account you CANNOT contribute to if you have Part A?
What is a Health Savings Account with a High Deductible health plan?
500
Starting in 2020, Medigap plans will no longer cover this Part B out-of-pocket expense.
What is the Part B deductible?
500
Members of this Medicare Advantage Plan can see Stanford Health Care providers.
What is University Health Care Advantage?
500
Enrollment in this Part of Medicare can happen anytime if an individual is entitled to it by having 40 Social Security Credits.
What is Medicare Part A?
500
This year long period starts at age 65 and allows an individual who joined an MA at that time to switch to Original Medicare and buy a Medigap Plan without having to answer medical questions.
What is the Medicare Advantage Trial Right period.